3 Days Of Fever in Pediatrics — Case | Paediatric Neurology | SMLE Q#17327
SMLE Question #17327
Pediatrics
Paediatric Neurology
Last updated: February 2026
An 8-year-old previously healthy boy presents with 3 days of fever followed by 24 hours of progressive difficulty standing and walking. Examination shows symmetric flaccid weakness in both legs with markedly decreased knee and ankle reflexes. Sensation is intact. He has shallow breathing and a weak cough; chest auscultation is clear and there are no meningeal signs. What is the most appropriate initial management step?
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